Heart Valve Damage and Treatment Options for Severe Hypertrophy - Cardiology

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Please inquire about treatments related to heart disease?


My mother is 54 years old and has been suffering from heart disease for 14 years.
During this time, she has relied on medication to maintain a regular heartbeat.
However, a recent hospital examination revealed that her heart has suffered damage to the heart valves, leading to regurgitation.
As a result, the right ventricle has hypertrophied due to prolonged accumulation and is now four times the size of a normal heart.
This has developed into "severe right ventricular hypertrophy due to heart valve damage," which poses a risk of heart failure.

The long-term medications she has been taking include:
1.
TDGX Digoxin 0.25 mg/tab
2.
TCMD2 Coumadin 2.5 mg/tab
3.
TLSX Lasix 40 mg/tab
4.
TTRI Tritace (cardiovascular) 2.5 mg/tab
In this situation, I would like to ask:
1.
Is heart transplantation the only treatment option?
2.
What is the success rate of heart transplantation?
3.
What is the estimated total cost of heart transplantation?
4.
How can we seek a new heart donor?
5.
Can she apply for a major illness card due to this condition?
I would appreciate the insights of cardiologists on these questions.
Thank you!

Xiwang, 20~29 year old female. Ask Date: 2005/08/28

Dr. Zhu Nianfeng reply Cardiology


Based on the case described, the patient may have valvular heart disease (pulmonary valve regurgitation) complicated by heart failure.
Currently, medications such as digoxin, diuretics, angiotensin-converting enzyme inhibitors, and anticoagulants have been used.
Since there is no information regarding echocardiography or cardiac catheterization in the provided data, it is not possible to determine whether surgical treatment is necessary (or what type of surgical treatment may be required).
The patient can visit any medical center to consult with a specialist regarding further treatment options and potential outcomes.
Best wishes, Dr.
Nien-Feng.

Reply Date: 2005/08/28

More Info


Heart valve damage, particularly when it leads to severe right ventricular hypertrophy, is a serious condition that requires careful evaluation and management. In your mother's case, the valve damage has resulted in significant changes to her heart structure, specifically the right ventricle, which has enlarged to four times the size of a normal heart. This situation poses a risk of heart failure, and it is crucial to explore the treatment options available.

1. Is heart transplant the only treatment option?
While heart transplantation is a potential treatment for end-stage heart disease, it is not the only option. Depending on the specific type and severity of the valve damage, other treatments may be appropriate. For instance, if the valve damage is due to a specific condition (like rheumatic heart disease or degenerative valve disease), surgical repair or replacement of the affected valve may be possible. This could alleviate the backflow of blood and reduce the strain on the right ventricle. Additionally, medical management with medications may help control symptoms and improve quality of life, at least temporarily.

2. What is the success rate of heart transplant surgery?
The success rate of heart transplantation has improved significantly over the years. According to recent data, the one-year survival rate after heart transplantation is approximately 85-90%, while the five-year survival rate is around 70-75%. However, these rates can vary based on several factors, including the patient's overall health, the presence of other medical conditions, and the quality of the donor heart.

3. What is the estimated cost of heart transplant surgery?
The cost of heart transplantation can be substantial. In the United States, the total cost can range from $800,000 to over $1 million, which includes pre-transplant evaluations, the surgery itself, hospital stay, and post-operative care. Insurance coverage can significantly affect out-of-pocket expenses, so it is essential to consult with the insurance provider to understand what is covered.

4. How to seek a new heart?
To be considered for a heart transplant, your mother would need to be evaluated by a transplant center. This process typically involves a comprehensive assessment of her medical history, current health status, and psychological evaluation. If deemed a suitable candidate, she would be placed on a waiting list for a donor heart. The availability of donor organs is limited, and wait times can vary significantly based on factors such as blood type, body size, and the urgency of the need.

5. Can this condition qualify for a major illness card?
Eligibility for a major illness card or similar benefits varies by region and specific health policies. Generally, conditions that significantly impair health and require extensive medical treatment, such as severe heart disease, may qualify. It is advisable to consult with healthcare providers or social services in your area to understand the criteria and application process.

In summary, while heart transplantation is a viable option for severe heart disease, it is not the only treatment available. Surgical repair or replacement of the damaged valve may be considered, and medical management can also play a role in treatment. The decision should be made in consultation with a cardiologist who can evaluate your mother's specific condition and recommend the best course of action. Regular follow-ups and monitoring are essential to manage her heart health effectively.

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